Self-injury, aggression and destruction in children with severe intellectual disability: Incidence, persistence and

L E Davies1, C Oliver2

  • 1Finch Road Primary Care Centre, Finch Road, Lozells, Birmingham B19 1HS, UK.

Insights

Repetitive behaviors and impulsivity are significant risk markers for self-injury, aggression, and destruction in children with severe intellectual disability. Early intervention strategies targeting these behaviors are crucial for this high-risk population.

Area of Science:

  • Child Psychology
  • Developmental Disabilities
  • Behavioral Science

Background:

  • Severe intellectual disability (ID) in children presents challenges, including self-injurious, aggressive, and destructive behaviors.
  • Early intervention strategies are increasingly supported for managing these behaviors in high-risk children.
  • Understanding predictive risk markers is crucial for effective intervention.

Purpose of the Study:

  • To determine the cumulative incidence and persistence of self-injury, aggression, and destruction in children with severe ID.
  • To investigate the relationship between these behaviors and risk markers: repetitive behaviors and interests (RRBI), and impulsivity/overactivity (O/I).

Main Methods:

  • A longitudinal study design was employed.
  • 417 children with severe ID were assessed by teachers.
  • Assessments were conducted twice, with a 15-18 month interval, measuring self-injury, aggression, and destruction.

Main Results:

  • Aggression, destruction, and self-injury showed high persistence rates (69%, 57%, 58% respectively).
  • Both RRBI and O/I were significantly associated with aggression, destruction, and/or self-injury.
  • RRBI and O/I significantly increased the relative risk for the cumulative incidence of these behaviors.

Conclusions:

  • Repetitive and restricted behaviors and interests (RRBI) and overactivity/impulsivity (O/I) are confirmed as risk markers.
  • These markers predict the onset of self-injury, aggression, and destruction in children with severe ID.
  • Findings support risk-informed early intervention for this vulnerable group.
Abstract

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